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See a sample rate comparisonCPT 93295 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Interrogation Device Evaluation(S) (Remote) Up To90 Days; Single Dual Or Multiple Lead Implantable Defibrillator System With Interim Analysis Review(S) And Report(S) By A Physician Or Other Qualified Health Care Professional (Revised 01/01/15)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $36.07 national non-facility rate (2026) · View Medicare rates for 93295 |
| Medicaid Fee Schedule | $31.53 median of the 8 states in the free preview · View Medicaid rates for 93295 |
National average reimbursement for CPT 93295 by major payers:
$58.97
$67.07
$68.93
$86.33
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CPT 93295
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$216.80Published rateAdventist Health Partners, Inc, Salt Creek Therapy Center
$108.93Published rateHaidar Kabbani
Trihealth G, LLC
$75.00Published rateDavid Hanrahan
Loyola University Medical Center
$62.34Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$31.54Published rate
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See a sample payer proposalCPT 93295 vs. Other Cardiovascular Procedures Codes
The CPT 93295 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93295 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93293-CPT | Low | Pm Phone R Strip Device Eval, Transtelephonic Rhythm Strip Pacemaker Evaluation S Single Dual Or Multiple Lead Pacemaker System Includes Recording With And Without Magnet Application With Analysis Review And Report S By A Physician Or Other Qualified Health Care Professional Up To 90 Days |
| 93294-CPT | Low | Rem Interrog Evl Pm Ldls Pm, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System With Interim Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional |
| 93295-CPT | Low | Interrogation Device Evaluation(S) (Remote) Up To90 Days; Single Dual Or Multiple Lead Implantable Defibrillator System With Interim Analysis Review(S) And Report(S) By A Physician Or Other Qualified Health Care Professional (Revised 01/01/15) |
| 93296-CPT | Low | Rem Interrog Evl Pm Ids, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Leadless Pacemaker System Or Implantable Defibrillator System Remote Data Acquisition S Receipt Of Transmissions And Technician Review Technical Support And Distribution Of Results |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93295 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
The cost of medical procedures and services can vary significantly based on your location, the specific provider, your insurance plan, and other factors. To find out the estimated cost for a specific procedure or service based on CPT codes and your location, you can use specialized tools. For accurate and specific pricing information tailored to your situation, we recommend using a fee schedule lookup tool like Payerprice. They allow you to search with CPT codes and specific locations to get a better understanding of potential costs.
CPT stands for 'Current Procedural Terminology.' CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for accurate billing. They help ensure consistency in reporting medical procedures and services across the healthcare industry.
Healthcare costs vary widely due to a multitude of factors, including the geographical location of the provider, the specific healthcare facility (e.g., hospital vs. outpatient clinic), the complexity of the procedure, the provider's reputation, negotiation power between providers and insurance companies, and your individual insurance plan's deductible, co-pays, and co-insurance. Additionally, different healthcare systems and payment models contribute to price disparities.
While your doctor can often provide an estimate for the professional fees related to a procedure, the exact total cost can be difficult for them to determine definitively beforehand. This is because the final bill includes facility fees, anesthesia, lab work, and other services, which vary based on the specific facility and your insurance plan. To get a more precise understanding of the potential costs based on CPT codes and your location, we recommend using a fee schedule lookup tool like Payerprice.
Your insurance plan significantly affects the price you pay. It determines your deductible (the amount you pay before insurance starts covering costs), co-payments (a fixed amount you pay for a service), co-insurance (a percentage of the cost you pay after your deductible is met), and out-of-pocket maximum (the most you'll pay in a year). Insurance companies also negotiate discounted rates with providers, meaning the 'sticker price' is often not what they, or you, ultimately pay. It's crucial to understand your specific plan benefits to anticipate your out-of-pocket expenses.